Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,528.00 / $7,920.26 / $20,400.00	Facility		$2,528.00	$7,920.26	$20,400.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,187.01 / $2,563.34 / $3,073.30	Professional		$2,187.01	$2,563.34	$3,073.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,639.66 / $2,134.66 / $2,856.85	Facility		$1,639.66	$2,134.66	$2,856.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,640.03 / $2,221.76 / $2,389.21	Facility		$1,640.03	$2,221.76	$2,389.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,639.66 / $2,207.52 / $3,034.24	Facility		$1,639.66	$2,207.52	$3,034.24
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $382.01 / $382.01 / $382.01	Facility	AS	$382.01	$382.01	$382.01
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,397.43 / $20,285.91 / $26,041.52	Facility		$9,397.43	$20,285.91	$26,041.52
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00